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Application Form PGDM

This document is an application form for the two-year full-time Post Graduate Diploma in Management (PGDM) program at LAL BAHADUR SHASTRI INSTITUTE OF MANAGEMENT, DELHI for the years 2012-2014. The form provides instructions for applicants to fill out their personal details including name, date of birth, contact information, academic qualifications, work experience, and other extracurricular activities. Applicants must select their preference between the PGDM and PGDM-Finance programs and tick the appropriate box for things like category, center for interview, and signatures.

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Sanjiv Jaiswal
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43 views3 pages

Application Form PGDM

This document is an application form for the two-year full-time Post Graduate Diploma in Management (PGDM) program at LAL BAHADUR SHASTRI INSTITUTE OF MANAGEMENT, DELHI for the years 2012-2014. The form provides instructions for applicants to fill out their personal details including name, date of birth, contact information, academic qualifications, work experience, and other extracurricular activities. Applicants must select their preference between the PGDM and PGDM-Finance programs and tick the appropriate box for things like category, center for interview, and signatures.

Uploaded by

Sanjiv Jaiswal
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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LAL BAHADUR SHASTRI INSTITUTE OF MANAGEMENT, DELHI APPLICATION FORM

1. 2. TWO YEAR (FULL TIME) POST GRADUATE DIPLOMA IN MANAGEMENT (PGDM) : 2012-2014 TWO YEAR (FULL TIME) POST GRADUATE DIPLOMA IN MANAGEMENT (PGDM) : FINANCE 2012-2014

No.
Instruction for filling form: i Fill in the application from in capital letters. The form should be complete in all respects. ii iii iv v vi Please do not enclose any testimonials alongwith the form. All Originals certificates should be produced at the time of interview. Incomplete forms will not be considered. Last date for receipt of application form: 12th December 2011. Mail the completed application form in the envelope provided. Tick ( ) in the correct box properly

Passport size photograph

1. 2. 4.

Name: Mr./Ms.. (CAPITAL LETTERS) (As given in 10th Certificate) Date of Birth 3. Sex : Female

Mailing Address.. . ..Pin Phone Landline:... Mobile: E-mail . (As provided in the CAT form) (Please type your e-mail on a paper strip and paste here)

5.

Permanent Address.. . ..Pin Phone...

6. 7. 8.

(i) Nationality (ii) Domicile State... Please give your preference by writing 1 & 2 in the appropriate boxes: PGDM Please tick mark : KASHMIRI MIGRANT * GENERAL PGDM-FIN

(* Relevant certificate to be produced at the time of interview) 9. 10. 11.


Option for GD/PI Centre (please tick any one) Delhi / Hyderabad / Kolkata /Mumbai / Bengaluru / Guwahati

Category (Please tick any one) CAT - Registration No. (Allotted by IIM)

General

Corporate Sponsored

Both

(P.T.O.) 12. Details of Parents : Fathers Name.. Occupation Official Address.. . Phone/Fax.. 13. Academic Qualifications
EXAMINATION STREAM YEAR NAME OF SCHOOL/COLLEGE/UNIVERSITY BOARD/UNIVERSITY % OF MARKS OBTAINED

Mothers Name. Occupation Official Address ... Phone/Fax...

Std. X Std. XII


(Arts/Science/ Commerce)

--

Graduation (B.A, BSc etc) Post -Graduation Any Other 14. Academic Awards/Medals/Prizes/Scholarships/Honours etc. .. . 15. Extra Curricular Activities/Hobbies . .. . 16. Work Experience, if any:
ORGANISATION DESIGNATION FROM TO MONTHLY SALARY

Declaration
I have read the information brochure and agree to follow all the terms and conditions given therein. All entries made in this application form are true to the best of my knowledge and belief. I will produce original certificates at the time of interview. My candidature can be cancelled at any stage, if any information given is found to be untrue.

Date..

Signature of the Applicant

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